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[秘鲁人全景X线片中牙冠内吸收前期的发生率:一项横断面研究]

[Frequency of pre-eruptive intracoronal resorption in panoramic radiographs of peruvians: a cross-sectional study].

作者信息

Pérez Lip Iván Eduardo, García Rupaya Carmen Rosa, Ruiz García de Chacón Vilma Elizabeth

机构信息

Universidad Peruana Cayetano Heredia. Lima, Perú.

出版信息

Rev Cient Odontol (Lima). 2024 Sep 17;12(3):e207. doi: 10.21142/2523-2754-1203-2024-207. eCollection 2024 Jul-Sep.

DOI:10.21142/2523-2754-1203-2024-207
PMID:39444726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11495175/
Abstract

OBJECTIVE

To determine the frequency of Preeruptive Intracoronal Resorption (PIR) in a sample of digital panoramic radiographs of Peruvian patients between 3 to 21 years of age who attended an oral and maxillofacial radiology center between 2013 and 2021.

MATERIAL AND METHODS

This observational study was descriptive, retrospective and cross-sectional. A sample of 1897 digital panoramic radiographs was evaluated to determine the frequency of PIR and its covariates of location, depth, and inclination of the affected teeth. The authors' calibration was performed before the study. The intraoperator agreement was determined by calculating the Kappa coefficient (0.72, CI 0.67-0.76). The radiographs were evaluated by the study's principal author (IEP), and the data were collected in a form designed for the study. The statistical association was determined using the Chi-square test, with a confidence level of 95%, and a p-value of less than 0.05 was considered significant.

RESULTS

The frequency of PIR was 3.95%, with no statistically significant difference between sexes (p>0.05). The most common findings were PIR in the lower right second molar (32.5%), a singular defect (89.3%), central location (44.5%), and superficial dentinal involvement (83.1%). These results aligned with existing literature.

CONCLUSIONS

Our results describe the epidemiological profile of PIR in the present sample as a single radiolucent and small (grade I) defect located centrally in the coronal dentin, often affecting posterior lower teeth with a frequency lesser than 5%. These findings provided valuable insights for clinicians and researchers regarding the frequency and characteristics of PIR in Peruvian patients.

摘要

目的

确定2013年至2021年间在一家口腔颌面放射中心就诊的3至21岁秘鲁患者的数字化全景X线片样本中牙内吸收(PIR)的发生率。

材料与方法

本观察性研究为描述性、回顾性和横断面研究。评估了1897份数字化全景X线片样本,以确定PIR的发生率及其患牙位置、深度和倾斜度的协变量。在研究前进行了作者校准。通过计算Kappa系数(0.72,CI 0.67 - 0.76)确定了操作者内一致性。X线片由研究的主要作者(IEP)进行评估,数据通过专门为该研究设计的表格收集。使用卡方检验确定统计学关联,置信水平为95%,p值小于0.05被认为具有统计学意义。

结果

PIR的发生率为3.95%,性别之间无统计学显著差异(p>0.05)。最常见的表现为右下第二磨牙的PIR(32.5%)、单一缺损(89.3%)、中央位置(44.5%)和浅层牙本质受累(83.1%)。这些结果与现有文献一致。

结论

我们的结果描述了本样本中PIR的流行病学特征,表现为位于牙冠牙本质中央的单个透射性小(I级)缺损,常累及下颌后牙,发生率低于5%。这些发现为临床医生和研究人员提供了关于秘鲁患者PIR发生率和特征的宝贵见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/95f8b34c6bde/odontologica-12-03-e207-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/dbe5edb8b152/odontologica-12-03-e207-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/0d75b7ccf63f/odontologica-12-03-e207-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/ad624c13378a/odontologica-12-03-e207-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/3f80ea39bd76/odontologica-12-03-e207-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/95f8b34c6bde/odontologica-12-03-e207-gf5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/dbe5edb8b152/odontologica-12-03-e207-gf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/0d75b7ccf63f/odontologica-12-03-e207-gf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/ad624c13378a/odontologica-12-03-e207-gf3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/3f80ea39bd76/odontologica-12-03-e207-gf4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93d5/11495175/95f8b34c6bde/odontologica-12-03-e207-gf5.jpg

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本文引用的文献

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Pre-eruptive intracoronal radiolucencies in permanent dentition of children in Tamil Nadu-A cross-sectional study.泰米尔纳德邦恒牙萌出前的牙内放射透光区:一项横断面研究。
Int J Paediatr Dent. 2022 May;32(3):428-435. doi: 10.1111/ipd.12922. Epub 2021 Oct 20.
2
Management of Maxillary Premolar with Pre-eruptive Intracoronal Resorption: A 5-year Follow-up Case.上颌前磨牙萌出前冠内吸收的治疗:一例5年随访病例
Int J Clin Pediatr Dent. 2021 Jan-Feb;14(1):161-166. doi: 10.5005/jp-journals-10005-1881.
3
Revisiting the human dental follicle: From tooth development to its association with unerupted or impacted teeth and pathological changes.
重新审视人类牙囊:从牙齿发育到与未萌出或阻生牙及病理变化的关系。
Dev Dyn. 2022 Mar;251(3):408-423. doi: 10.1002/dvdy.406. Epub 2021 Aug 4.
4
Treatment of pre-eruptive intracoronal resorption: A systematic review and case report.萌出前牙内吸收的治疗:一项系统评价与病例报告
J Dent Sci. 2020 Sep;15(3):373-382. doi: 10.1016/j.jds.2020.02.001. Epub 2020 Mar 18.
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Treatment of pre-eruptive intracoronal resorption: A scoping review.治疗萌出前牙内冠吸收:范围综述。
Eur J Paediatr Dent. 2020 Sep;21(3):227-234. doi: 10.23804/ejpd.2020.21.03.13.
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Incidental observation of pre-eruptive intracoronal resorption after seven years.七年随访发现牙萌出前冠内吸收
Aust Dent J. 2019 Dec;64(4):376-379. doi: 10.1111/adj.12720. Epub 2019 Sep 30.
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Unrevealed Caries in Unerupted Teeth: A Prevalence Study.未萌出牙中的隐匿性龋:一项患病率研究。
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Prevalence of pre-eruptive intracoronal radiolucencies in Thai children and adolescents: A retrospective study.泰国儿童和青少年牙冠内前期透射影像的患病率:一项回顾性研究。
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A Controlled Study of Pre-Eruptive Intracoronal Resorption and Dental Development.萌出前牙冠内吸收与牙齿发育的对照研究
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